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ACCEPTANCE SLIP
_______________________
TO WHOM IT MAY CONCERN:
IN WITNESS WHEREOF, the parties hereby affixed their signatures above their printed name
to indicate their conformity to this Memorandum of Agreement, this _____ day of
___________________, 20___ at Bacolod City, Negros Occidental.
WEST NEGROS UNIVERSITY
For the
First Party
Second Party
By:
By:
<Name of Supervisor>
Station Manager
WITNESSETH:
____________________________
______________________________
Program Coordinator
ACKNOWLEDGEMENT
Before me, a Notary Public in the province of Negros occidental personally appeared
_________________________ and _________________________ with Community Tax Certificates
indicated above, known to me to be the same persons who executed the foregoing
instrument and they acknowledged to me that the same is their free will and voluntary deed
and that of the institutions herein represented.
Witness my hand and seal on this ___ day of _______________ 2011 in Bacolod City.
Doc. No. _______:
Page No. ______:
Book No. ______:
Series of ______:
Parents Waiver Form
_____________________